| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,495 |
5,965 |
$368K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,495 |
1,618 |
$127K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
212 |
200 |
$25K |
| 93000 |
|
1,309 |
973 |
$13K |
| 96127 |
|
268 |
251 |
$4K |
| 99051 |
|
98 |
91 |
$651.00 |
| 90686 |
|
14 |
14 |
$19.03 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
567 |
536 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$0.00 |
| 3008F |
|
159 |
145 |
$0.00 |